Bosasa Ayamba Miriam

Primary specialty

Home Health AideTaxonomy code 374U00000X

License

HHA11692 Issued in DC

Practice address

6305 Ivy LN Ste 610
Greenbelt, MD 20770-6363

Phone

(202) 790-8903

Fax

(301) 889-9735

NPI assigned

Mar 11, 2016

Last updated

May 26, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Children's Milestone Corp

  • Behavior Analyst
  • Beltsville, MD
  • NPI 1083243208
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1457654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685059200000",
    "number": "1912368408",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 610",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706363",
            "telephone_number": "202-790-8903",
            "fax_number": "301-889-9735"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6305 IVY LN STE 610",
            "city": "GREENBELT",
            "state": "MD",
            "postal_code": "207706363",
            "telephone_number": "202-790-8903",
            "fax_number": "301-889-9735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIRIAM",
        "first_name": "BOSASA AYAMBA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-11",
        "last_updated": "2023-05-26",
        "certification_date": "2023-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "106S00000X",
            "taxonomy_group": "",
            "desc": "Behavior Technician",
            "state": "MD",
            "license": "RBT-22-200229",
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "",
            "desc": "Home Health Aide",
            "state": "DC",
            "license": "HHA11692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Lee Minor, CRNP, FNP-BC, LMT
• Nadiyah Minor
• Tiffany Minor
• Stephanie J Minzak
• Mirasoul Psychiatry LLC
• Brajendra Nath Misra, M.D.,M.S.,F.A.C.S
• Norman A Mitchell, NORMAN MITCHELL, DDS
• Porsha Mitchell
• Navita Modi, M.D.
• Sana Numan Mohamed, DMD

• Home Health Aide in Greenbelt, MD
• Providers in Greenbelt, MD by specialty
• Home Health Aide in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.